North American Journal of Medical Sciences

REVIEW ARTICLE
Year
: 2013  |  Volume : 5  |  Issue : 8  |  Page : 460--464

Spontaneous pneumomediastinum: Time for consensus


Sonu Sahni1, Sameer Verma1, Jinette Grullon2, Anthony Esquire3, Purvesh Patel1, Arunabh Talwar1 
1 Department of Pulmonary, Critical Care and Sleep Medicine, North Shore - Long Island Jewish Health System, New Hyde Park, NY 11040, USA
2 School of Health and Natural Sciences, Mercy College, Dobbs Ferry, NY 10522, USA
3 Department of Medicine, Touro College of Osteopathic Medicine, Harlem, NY 10010, USA

Correspondence Address:
Arunabh Talwar
Department of Pulmonary, Critical Care and Sleep Medicine, North Shore - Long Island Jewish Health System, New Hyde Park, NY 11040
USA

Pneumomediastinum (PM) is defined as the presence of free air in the mediastinal cavity. It is often regarded as a revealing sign of a more serious medical condition. PM is broken down into two categories, one, with an instigating event, referred to as secondary PM. The other is when free air is discovered in the mediastinal cavity without a clear etiology, referred to as spontaneous pneumomediastinum (SPM). Often misdiagnosed due to the vague nature of presenting symptoms, SPM must be part of the differential diagnosis of a chest pain patient to expedite discovery and if necessary, management. A MedLine/PubMED search was performed identifying all relevant articles with DQSPMDQ in the title. Six case series were reviewed to determine what clinical scenario constitutes a possible case of SPM. Results showed that almost all patients with SPM exhibited some chest pain, but HammanSQs crunch was present in only one-fifth of patients. Patients with certain pre-existing pulmonary diseases showed a greater propensity for the presence of free air in the mediastinal cavity. SPM must be diagnosed and managed promptly due to rare, but serious complications and any chest pain with an unknown etiology should contain SPM in the differential diagnosis.


How to cite this article:
Sahni S, Verma S, Grullon J, Esquire A, Patel P, Talwar A. Spontaneous pneumomediastinum: Time for consensus.North Am J Med Sci 2013;5:460-464


How to cite this URL:
Sahni S, Verma S, Grullon J, Esquire A, Patel P, Talwar A. Spontaneous pneumomediastinum: Time for consensus. North Am J Med Sci [serial online] 2013 [cited 2021 Sep 19 ];5:460-464
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2013;volume=5;issue=8;spage=460;epage=464;aulast=Sahni;type=0